Equipment Safety Inspection - DDS Companies

• Project/Job Site Name

• Location of Equipment

• Type of Equipment Manufacturer, Description/Type of Equipment and Model # (example - Komatsu Track Hoe #290)

• Equipment ID (example GDP-313)

• Date Conducted on

  Date

• Name of Authorized Operator completing daily inspection

• DDS Division

  Select

Equipment Inspection

• Is Equipments buckets, blades, forks, rakes, etc. lowered to the ground?

  Safe

  At Risk

  N/A

• Any visual evidence of fuel, hydraulic or petroleum leaks?

  Safe

  At Risk

  N/A

• Are mirrors present and in good condition?

  Safe

  At Risk

  N/A

• Is windshield and windows in good condition (not cracked or distorted) and clean?

  Safe

  At Risk

  N/A

• Wheels, Tires or Tracks in good condition?

  Safe

  At Risk

  N/A

• Is the seat belt operational?

  Safe

  At Risk

  N/A

• Is the Operator Manual or QR (linked to Manufacturer's online manual) present?

  Safe

  At Risk

  N/A

• Hours on meter/mileage

• Gauges, Controls

  Safe

  At Risk

  N/A

• Is the horn operable?

  Safe

  At Risk

  N/A

• Are backup and bidirectional alarms operational?

  Safe

  At Risk

  N/A

• Are lights functioning properly?

  Safe

  At Risk

  N/A

• Have fitting been greased?

  Safe

  At Risk

  N/A

• Steps/Hand Rails in-place and used?

  Safe

  At Risk

  N/A

• Is there a fire extinguisher present on equipment and properly charged?

  Safe

  At Risk

  N/A

• Any other deficiencies, hazards, unsafe condition present or existing?

• Comments